Mitchell Walters, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 11395 Issued in FL

Practice address

10910 State Road 70 E Ste 101
Lakewood Ranch, FL 34202-8406

Phone

(941) 799-7207

Fax

(941) 799-2077

NPI assigned

Jan 19, 2015

Last updated

Jul 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adjust Your Life Chiropractic LLCGroup PAC ID 4284886987, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adjust Your Life Chiropractic, LLC

  • Chiropractor
  • Lakewood Ranch, FL
  • NPI 1154696003
  Medicare reassignment Care Compare group NPD
• Adjust Your Life Chiropractic Parrish

  • Chiropractor
  • Parrish, FL
  • NPI 1083256739
  Medicare reassignment NPD
• Walters Chiropractic LLC

  • Chiropractor
  • Jacksonville Beach, FL
  • NPI 1881085330
  Authorized official Same address or phone
• Adjust Your Life Chiropractic Sarasota LLC

  dba Adjust Your Life Chiropractic

  • Chiropractor
  • Sarasota, FL
  • NPI 1558085639
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1427447127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1747",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320671747",
            "telephone_number": "904-887-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10910 STATE ROAD 70 E STE 101",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342028406",
            "telephone_number": "941-799-7207",
            "fax_number": "941-799-2077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11665 US Highway 301 N",
            "address_purpose": "LOCATION",
            "city": "Parrish",
            "state": "FL",
            "postal_code": "342198407",
            "country_code": "US",
            "telephone_number": "941-799-7207",
            "fax_number": "941-799-2077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-19",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 11395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Walgreen Co (Walgreens #06135)
• Walgreen Co (Walgreens #12102)
• Lindsey Walsh, DPT
• Astrid Veronica Ward
• Breneshia Washington
• Breyawna Washington
• Maxine Watson, PT
• Wave Hair Collection LLC

• Chiropractor in Lakewood Ranch, FL
• Providers in Lakewood Ranch, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.